=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467949339
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RHYBER ENTERPRISES INCORPORATED
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/17/2018
-----------------------------------------------------
Last Update Date | 04/17/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 17080 RED OAK DR
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77090-2602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-298-7441
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1201 MAGGIE RIDGE CT
-----------------------------------------------------
City | SPRING
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77386-4050
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-298-7441
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MD
-----------------------------------------------------
Name | AMBER RAY-DRODDY
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 281-298-7441
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208M00000X
-----------------------------------------------------
Taxonomy Name | Hospitalist Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------